[Remote] Complex Case Manager III

Note: The job is a remote job and is open to candidates in USA. Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The RN Case Manager will provide a member-centric model of care, conducting assessments and coordinating services to support members with high needs. Responsibilities • Provide a member-centric, evidence-based model of care across multiple products • Conduct comprehensive assessments, developing, implementing, and monitoring individualized care plans • Coordinate services across the healthcare continuum • Reduce the illness burden for individuals and their families while decreasing healthcare costs • Perform other duties assigned Skills • Bachelor's degree in Nursing or equivalent work experience in related field, plus 5 years of work experience beyond degree of clinical/acute care nursing • Current, unrestricted RN license in the state of residence • Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application • Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire • Experience working with vulnerable and complex populations, including multiple age groups, ethnic and socioeconomic backgrounds provided in a clinical, home care or telephonic environment; direct case management experience strongly preferred • Knowledge of managed care principles and regulatory guidelines preferred • Proficiency in electronic health records and care management software Benefits • Competitive medical • Dental • Vision • PTO • Holidays • Paid volunteer time off • 401K contributions • Caregiver services • Many other benefits to support our employees Company Overview • Medica is a company that provides health coverage to meet customers needs for health plan. It was founded in 1975, and is headquartered in Minnetonka, Minnesota, USA, with a workforce of 1001-5000 employees. Its website is Apply tot his job